Organization Active NPI

Burton Station LLC

Doing business as Reserved Residency

  • Developmentally Disabled Services Day Training Agency
  • Norfolk, VA
National Provider Identifier
1629963764
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
BURTON STATION LLC
Doing business as
Reserved Residency
Practice address
4500 Larkin St
Norfolk, VA 23513-3918
Phone
(757) 991-3295
NPI assigned
Jun 10, 2025
Last updated
Jun 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daveyon BurtonNPI 1942194477
Title
Owner
Phone
(757) 991-3295

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

4500 Larkin St
Norfolk, VA 23513-3918

Mailing address

4500 Larkin St
Norfolk, VA 23513-3918
Phone (757) 991-3295

Other names 1

  • Reserved Residency Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1629963764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 LARKIN ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235133918",
            "telephone_number": "757-991-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 LARKIN ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235133918",
            "telephone_number": "757-991-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURTON STATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "DAVEYON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-991-3295"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reserved Residency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.